Go, Ellen J. L.

Go, Ellen J. L. is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 307, Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Go, Ellen J. L. can be contacted via phone (317) 274-2172.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 307 Indianapolis IN 46202-5109
Phone: (317) 274-2172
Fax: (317) 278-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 01074044A Indiana

Profile Details

NPI number 1699059188
LBN Legal business name Go, Ellen J. L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2011
Last updated Sep 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699059188 NPPES
Indiana MEDICAID 300003103

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